ATI LPN
Perioperative Care NCLEX Questions Questions
Question 1 of 5
The nurse will be caring for a patient who has just arrived on the medical-surgical unit following surgical repair of his fractured right ankle. Which is the priority action of the nurse when the patient arrives on the unit?
Correct Answer: D
Rationale: Check pulse oximetry and obtain a full set of vital signs,' as initial postoperative assessment establishes a baseline vital signs (including oxygenation) reflect stability after anesthesia and surgery. 'Call light instruction' (A) aids communication but isn't urgent. 'Assess toes' (B) checks circulation, secondary to systemic status. 'Pain medication timing' (C) follows vital sign confirmation. In nursing, holistic assessment (ABCs) takes precedence; D aligns with NCLEX Management of Care and Clinical Judgment, ensuring broad stability before focused checks.
Question 2 of 5
While in the holding area, a patient reveals to the nurse that his father had a high fever after surgery. What action by the nurse is a priority?
Correct Answer: B
Rationale: Alert the anesthesia care provider of the family member's reaction to surgery,' as a fever history suggests malignant hyperthermia (MH) a genetic risk requiring immediate ACP notification for precautions (e.g., dantrolene). 'Sticker' (A) delays communication. 'Reassurance' (C) lacks action. 'Acetaminophen' (D) doesn't prevent MH. In nursing, proactive risk reporting is critical; B aligns with NCLEX Physiological Integrity and Prioritization, ensuring timely intervention.
Question 3 of 5
The postoperative patient displays sudden chest pain, shortness of breath, cyanosis, tachycardia, and low blood pressure. The nurse suspects which postoperative complication?
Correct Answer: D
Rationale: Pulmonary embolism,' as these symptoms (chest pain, dyspnea, cyanosis, tachycardia, hypotension) match a clot obstructing lung vasculature a life-threatening post-op risk. 'Pneumonia' (A) involves fever, cough. 'Atelectasis' (B) causes reduced breath sounds, not cyanosis. 'Hypovolemia' (C) lacks respiratory signs. In nursing, rapid recognition prompts intervention (e.g., oxygen, heparin); D aligns with NCLEX Perioperative, prioritizing emergency detection.
Question 4 of 5
How many providers from the operating room (OR) should participate in the hand-off communication that occurs with the postanesthesia care (PACU) nurse prior to patient transfer?
Correct Answer: B
Rationale: Two,' as OR-to-PACU hand-off typically involves two providers (e.g., surgeon, anesthesiologist) to ensure comprehensive reporting standard practice. 'One' (A) risks gaps. 'Three' (C) or 'four' (D) are excessive. In nursing, effective hand-off enhances safety; B aligns with NCLEX Perioperative, balancing efficiency and detail.
Question 5 of 5
The circulating nurse is assisting the anesthesiologist with patient monitoring during a surgical procedure. When documenting the administration of propofol, which terminology should the nurse use?
Correct Answer: B
Rationale: An intravenous anesthetic,' as propofol is an IV sedative-hypnotic used for anesthesia induction and maintenance not a narcotic (A) or muscle relaxant (C, D). In nursing, correct drug classification supports safe monitoring; B aligns with NCLEX Perioperative, ensuring precise anesthesia documentation.